Active NPI
Drew Elizabeth McClintock
- Occupational Therapist
- West Hartford, CT
National Provider Identifier
1922672807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 004006
- Practice address
- 1 Emily Way
West Hartford, CT 06107-3136 - Phone
- (914) 523-1812
- NPI assigned
- May 17, 2021
- Last updated
- May 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 004006 | CT | Primary |
Addresses
Primary practice location
1 Emily Way
West Hartford, CT 06107-3136
Mailing address
101 Federal St
West Hartford, CT 06110-1722
Phone (914) 523-1812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004006 | CT | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1922672807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 FEDERAL ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101722",
"telephone_number": "914-523-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EMILY WAY",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061073136",
"telephone_number": "914-523-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLINTOCK",
"first_name": "DREW",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "004006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.